Ua ʻeha kou puʻu a i ʻole kou umauma? He paʻakikī ke ale? E aʻo kākou e pili ana i kēia (Esophagitis)!

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha o ka puʻu, kahi ʻeha wela i loko o kou umauma ke moni ʻoe i ka meaʻai? A i ʻole ke manaʻo nei ʻoe ua paʻa ka meaʻai i loko o kou puʻu? Mai hoʻowahāwahā wale i kēia mau mea. No ka mea, he mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo Esophagitis, a mākou e kamaʻilio nei i kēia lā. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha.

He aha ka Esophagitis? I ka ʻōlelo maʻalahi...

ʻO ka Esophagitis ka mumū a i ʻole ka pehu ʻana o ka uhi o ka esophagus, ke ʻano o ka paipu e lawe ana i ka meaʻai mai kou puʻu a i kou ʻōpū. E noʻonoʻo iā ia e like me kahi ʻoki ma kou ʻili e hoʻoulu ai i ka ʻulaʻula, ka pehu, a me ka ʻeha. ʻO ia ka mea e hana ʻia ana i loko o kou esophagus. Hiki iā ʻoe ke manaʻo i ka ʻeha o ka puʻu, kahi ʻeha wela, a i ʻole kahi ʻeha wela.

Ua ʻike anei ʻoe i ke kumu o kēia pehu ʻana? Loaʻa i ko mākou kino kahi ʻōnaehana i kapa ʻia ʻo ka ʻōnaehana pale . ʻO ia ka mea e pale ai iā mākou mai nā maʻi a me nā germs. No laila, i ka wā e loaʻa ai kahi maʻi, kahi allergy, a i ʻole i ka wā e hōʻino ʻia ai ka esophagus ma kekahi ʻano, hoʻāla ʻia kēia ʻōnaehana pale a hoʻāʻo e hoʻōla iā ia. ʻO ia ka manawa e loaʻa ai kēia pehu a me ka mumū. I kekahi manawa, hiki i ka waikawa o ka ʻōpū mai ka ʻōpū ke komo i loko o ka puʻu, a hiki i kekahi mau lāʻau lapaʻau a mākou e lawe ai ke hōʻino i kēia esophagus (Esophagitis).

Pehea ka maʻamau o kēia maʻi (Esophagitis)?

ʻO kaʻoiaʻiʻo, ʻo ke kumu nui o (Esophagitis) ʻo ia ka reflux acid , ʻo ia ke ʻano a mākou e lohe pinepine ai i kapa ʻia ʻo `(GERD - Gastroesophageal Reflux Disease)`. He pilikia kēia i loaʻa i nā poʻe he nui. Eia nō naʻe, he mea kakaikahi nā ʻano ʻē aʻe o (Esophagitis). No ka laʻana, ʻike pinepine ʻia nā maʻi o ka esophagus i nā poʻe me nā ʻōnaehana pale nāwaliwali.

He aha nā hōʻailona e hiki iā mākou ke manaʻo inā loaʻa iā mākou ka esophagitis?

I ka wā e loaʻa ai iā ʻoe ka esophagitis, hiki iā ʻoe ke ʻike i kēia mau mea:

• ʻEha koʻu puʻu , e like me ka wā e loaʻa ai iaʻu ke anu.
• ʻŌhūhū - ʻO kēia ka ʻeha nui loa a ka poʻe he nui e hōʻike nei.
• He paʻakikī ke ale i ka meaʻai - me he mea lā ua paʻa kou puʻu.
• ʻEha umauma - I kekahi manawa hiki ke kuhihewa ʻia kēia no ka ʻeha o ka puʻuwai, no laila he mea nui e ʻike maopopo.

Hiki i kēia ʻeha ke ikaika iki, i kekahi manawa emi iki. Hiki nō hoʻi ke mau, a i ʻole hiki ke hele mai a hele aku.

Ma muli o ke koʻikoʻi o ka maʻi a me ke kumu, hiki ke ʻike ʻia nā hōʻailona e like me :

• ʻO ka reflux waikawa .
• Ka hoʻihoʻi ʻana i ka meaʻai .
• Manaʻo e like me ka meaʻai i paʻa i loko o ka puʻu .
• ʻAʻai ʻole .
• Hiki i nā keiki liʻiliʻi ke pilikia i ka ʻai ʻana .
• Ka luaʻi a me ka luaʻi .
• I kekahi manawa aia ke koko me ka luaʻi ʻana .
• Hiki nō hoʻi ke loaʻa nā ʻeha waha .

Mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻoi aku ka paʻakikī i ka moni ʻana a i ʻole ka ʻeha o ka umauma, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

He aha nā kumu o ka esophagitis?

E like me kā mākou i kamaʻilio ai ma mua iki, hiki i ka ʻiʻo i loko o kou esophagus ke pehu i ka wā e hakakā nei kāu ʻōnaehana pale i kahi maʻi, ke loaʻa iā ʻoe kahi maʻi allergy, a i ʻole ke pā mai kahi mea ʻino i kou esophagus.

ʻO nā kumu nui o ka esophagitis:

• ʻO ka reflux waikawa .
• ʻO kekahi o nā lāʻau lapaʻau a mākou e lawe ai.
• Nā maʻi bacteria .
• Nā maʻi ʻaleʻale .
• ʻO ka radiation therapy no nā mea e like me ke kanesa.
• Nā maʻi autoimmune .

Aia nā ʻano like ʻole o ka esophagitis ma muli o ke kumu.

He aha nā ʻano like ʻole o ka esophagitis?

E nānā kākou i kekahi o nā ʻano nui o ka esophagitis.

1. Reflux esophagitis (i hoʻokumu ʻia e ka reflux acid)

ʻO kēia ke ʻano maʻamau . Penei ka hana ʻana: Piʻi aʻe nā wai ʻakika a me nā wai ʻai mai kou ʻōpū i loko o kāu paipu meaʻai. Hōʻino kēia i ka uhi palupalu o kāu paipu meaʻai (mucosa) a hoʻoulu i ka pehu. Hiki ke hana kēia inā loaʻa pinepine iā ʻoe ka reflux acid a i ʻole ka luaʻi pinepine ʻana.

Hiki paha kēia ma muli o:

• `(GERD - Maʻi reflux Gastroesophageal)`
• `(Bile reflux)` - ʻO ke ʻano kēia, ke kahe nei ka bile mai ka ʻōpū a i loko o ka paipu meaʻai.
• Nā maʻi ʻai e like me `(Bulimia nervosa)`.

2. ʻO ka esophagitis i hoʻoulu ʻia e ka lāʻau lapaʻau

I kekahi manawa ua kapa ʻia kēia ʻo "pill esophagitis." Hiki i kekahi mau lāʻau lapaʻau i hoʻohana pinepine ʻia, inā lawe ʻia me ka wai ʻole, ke paʻa i loko o ka esophagus, kahi e hoʻoheheʻe ai a hōʻino i ka uhi o ka esophagus.

Aia kekahi mau ʻano lāʻau lapaʻau e hiki ke loaʻa kēia hopena:

• ʻO nā lāʻau ʻeha, no ka laʻana, nā lāʻau anti-inflammatory nonsteroidal (NSAIDs).
• ʻAsetaminopena (paracetamol).
• Kekahi mau ʻano `(Antibiotics)`.
• Nā papa ʻaila (Potassium chloride).
• ʻO nā Bisphosphonates kahi ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama ai i nā maʻi iwi.
• Nā lāʻau lapaʻau chemotherapy.

E hoʻomanaʻo: ʻO ia ke kumu he mea nui e inu i ke aniani wai i ka wā e lawe ana i nā pila.

3. Hoʻokumu ʻia e ka maʻi (Infectious esophagitis)

He mea kākaʻikahi nā maʻi o ka esophagus. Eia nō naʻe, inā nāwaliwali kou ʻōnaehana pale kino,, ʻo ia hoʻi, inā haʻahaʻa ke kūpaʻa o ke kino i ka maʻi, kiʻekiʻe ka manawa e hiki mai ai kēia ʻano maʻi. ʻO ka hapa nui o ka manawa, ua laha kēia mau maʻi i ka ʻōpū ʻai mai kahi ʻē aʻe.

ʻO nā maʻi fungal ka mea maʻamau, a ukali ʻia e nā maʻi viral .

Hiki i kekahi mau maʻi ke hana i ka esophagitis:

• ʻO ka haʻiki `(Candida albicans)` (ʻo ia ka mea e hoʻoulu pinepine ai i ka `(maʻi hū)`).
• ʻO ka maʻi Cytomegalovirus - CMV.
• ʻO ka maʻi herpes simplex waha 1 (HSV-1).
• `(ʻO ka maʻi papilloma kanaka waha - HPV)`.

Aia kekahi mau kumu e hoʻonāwaliwali ai ka ʻōnaehana pale:

• Ke kūlana `(HIV/AIDS)`.
• ʻO kekahi mau hemahema o ka pale ʻana o ka maʻi genetic (Nā maʻi immunodeficiency mua - PIDD)
• Nā immunosuppressants (e.g., nā lāʻau lapaʻau i hāʻawi ʻia i ka poʻe i loaʻa nā hoʻoili kino).
• Ka maʻi diabetes.
• ʻO kekahi mau ʻano maʻi ʻaʻai, e.g. `(Leukemia)`, `(Lymphoma)`.
• ʻO ka Chemotherapy kahi lāʻau lapaʻau no ka maʻi kanesa.

4. (Eosinophilic esophagitis)

He ʻano ʻokoʻa iki kēia. Hoʻokumu ʻia ia e kahi ʻōnaehana pale ikaika loa . Loaʻa iā mākou kahi ʻano o ke koko keʻokeʻo i kapa ʻia ʻo "Eosinophils" i loko o ko mākou kino. Ke loaʻa iā mākou kahi maʻi allergy a i ʻole kahi maʻi, hōʻiliʻili nui kēia mau "Eosinophils" i loko o ka esophagus a hoʻomau i ka hoʻoulu ʻana i ka pehu ma laila, ʻoiai ma hope o ka hala ʻana o ka hoʻoweliweli. He ʻano kakaikahi kēia, a ʻoi aku ka nui o ka hiki ke loaʻa i nā poʻe me nā maʻi allergy he nui .

5. ʻO ka esophagitis autoimmune

Ma waho aʻe o ka esophagitis eosinophilic, hiki i kekahi mau maʻi autoimmune ʻē aʻe ke hana i ka esophagitis ma ke ʻano he hopena ʻaoʻao. Nā laʻana:

• `(Maʻi Graft vs host)` (kahi kūlana e hiki ke kū ma hope o ka hoʻoili ʻana o nā ʻōpū).
• ʻO ka maʻi ʻōpū mumū (IBD) (kahi maʻi mumū o ke ala ʻai).
• ʻO ka maʻi ʻo Behçet.

6. Ma muli o ka mālama ʻana i ka radiation (Radiation esophagitis)

Inā loaʻa iā ʻoe ka radiation therapy i kuhikuhi ʻia i kou esophagus, umauma, a i ʻole ka puʻu, hiki iā ia ke hoʻoulu i ka pehu ʻana o ka uhi o kou esophagus (radiation mucositis). He hopena manawa pōkole kēia. Eia nō naʻe, i nā hihia kakaikahi, hiki i kekahi poʻe ke loaʻa i kahi maʻi lōʻihi (esophagitis) ma muli o ka radiation therapy.

He maʻi koʻikoʻi anei ka Esophagitis? He aha ka mea e hana ʻia inā hoʻowahāwahā ʻia?

He maʻi hiki ke mālama ʻia a ho'ōla ʻia ka Esophagitis. Eia nō naʻe, inā ʻaʻole mālama ʻia ka Esophagitis koʻikoʻi, hiki ke loaʻa nā pilikia koʻikoʻi . E nānā kākou i kēlā mau mea.

• Nā ʻōpū ma ka esophagus:He mau ʻeha hāmama kēia i loko o ka paipu meaʻai. Hiki i kēia ke hōʻeha a me ke kahe ʻana o ke koko. I kekahi manawa, hiki i kahi ʻeha hoʻōla ʻole ke hoʻomau i ka ulu ʻana a hana i kahi lua i loko o ka paipu meaʻai (perforation gastrointestinal). Inā hana ʻia kēia, hiki i nā germs mai ka paipu meaʻai ke komo i loko o ka lua umauma a i ʻole ke koko, e hana ana i kahi maʻi weliweli (septicemia).
• ʻO ke koʻikoʻi o ka esophagus: Ke pehu ka ʻiʻo i loko o ka esophagus no ka manawa lōʻihi, hiki ke loaʻa kahi ʻeha. Hiki i kēia ʻiʻo ʻeha ke hoʻohaiki i ka esophagus, e paʻakikī ai ke ale i ka meaʻai. Inā lilo kēia i mea koʻikoʻi, hiki ke alakaʻi i ka maloʻo, ka pohō kaumaha, a me ka ʻai ʻole.
• ʻO ka metaplasia ʻōpū: He loli kēia i nā pūnaewele o ka esophagus. Ke hana ʻia kēia ʻano loli i loko o ka esophagus, ua kapa ʻia hoʻi ʻo "Barrett's esophagus". I mea e hoʻomaʻamaʻa ai i ka mumū e hoʻomau nei, loli ke ʻiʻo e uhi ana i ka esophagus e like me ke ʻiʻo e uhi ana i nā ʻōpū. Hiki i kēia loli ke lilo i mea mua i ka maʻi ʻaʻai esophageal.

No laila, inā loaʻa iā ʻoe nā hōʻailona o (Esophagitis), mai hoʻowahāwahā iā lākou. He mea nui loa e ʻike koke i ke kauka a loaʻa ka lāʻau kūpono.

Pehea e ʻike ai nā kauka i ka esophagitis?

I ka manawa pinepine, kānalua paha ke kauka he esophagitis kou ma muli o kāu mau hōʻailona. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kekahi mau lāʻau pale waikawa e ʻike inā kōkua lākou. Inā kōkua lākou, hiki ke ʻike ʻia ʻoe me ka reflux esophagitis.

Inā ʻaʻole holo pono kēlā, pono paha nā hoʻokolohua hou aʻe. Pono paha ʻoe e loaʻa i kahi endoscopy luna, kahi e hoʻohana ai i kahi kāmela e nānā i loko o kou esophagus. A i ʻole pono paha ʻoe i kahi hoʻāʻo pH esophageal, kahi e ana ai i ka nui o ka waikawa i loko o kou esophagus.

Hiki ke ho'ōla loa ʻia ka Esophagitis?

ʻAe, hiki nō. No ka ho'ōla ʻana (Esophagitis), pono ʻoe e hoʻōki i nā mea e hoʻonāukiuki ai i kou esophagus, ʻo ia hoʻi, ke kumu o kona pehu ʻana, a hāʻawi i ka manawa e ho'ōla maoli ai. Ma muli o ke kumu, pono paha ʻoe e hana i kekahi mau hoʻololi i kou nohona a hoʻohana paha i nā lāʻau lapaʻau. Hiki i nā lāʻau lapaʻau ke kōkua i ka pale ʻana i kou esophagus a kōkua iā ia e ho'ōla wikiwiki.

He aha nā lāʻau lapaʻau no ka Esophagitis?

ʻO ka maʻamau, pili ka lāʻau lapaʻau i nā lāʻau lapaʻau a me nā loli o ke ʻano o ka nohona.

Nā ʻano lāʻau lapaʻau:

• Nā lāʻau hoʻēmi waikawa: Hiki i nā lāʻau lapaʻau e like me `(Antacids)`, `(H2 blockers)` (e.g. Famotidine), a me `(Proton-pump inhibitors - PPIs)` (e.g. Omeprazole, Esomeprazole) ke kōkua i ka kaohi ʻana i ka reflux acid. Hiki ke kūʻai ʻia kekahi o kēia mau mea ma ka hale kūʻai lāʻau `(OTC - Over-the-counter)`, aʻo nā mea ʻē aʻe e pono ai ke kauoha mai ke kauka.
• Nā lāʻau lapaʻau anti-inflammatory:No nā poʻe me ka eosinophilic esophagitis, ʻōlelo pinepine nā kauka e lawe i kahi lāʻau steroid wai. Hoʻopili kēia wai i loko o ka esophagus a hōʻemi i ka pehu. He emi nō hoʻi nā hopena ʻaoʻao ma mua o ka lawe ʻana i nā pila.
• Lāʻau lapaʻau antifungal no nā maʻi fungal: No nā maʻi fungal e like me (Candida).
• Lāʻau lapaʻau antiviral no nā maʻi viral: No nā maʻi viral e like me ka herpes.
• Nā antibodies monoclonal: He mau protein i hana ʻia me ke akamai. Hana pū lākou me kā mākou ʻōnaehana pale e kōkua i ka hoʻōki ʻana i ka mumū. ʻO Dupilumab kekahi o ia mau lāʻau. Ua ʻāpono ʻia e ka US Food and Drug Administration (FDA) e mālama i ka eosinophilic esophagitis.

Nā loli o ke ʻano o ka nohona:

• Nā hoʻololi ʻana i ka meaʻai: E ʻike a pale i nā meaʻai e hoʻoulu ai i ka reflux acid a i ʻole nā ​​​​​​meaʻai allergies (e like me nā meaʻai ʻala, nā meaʻai momona, kokoleka, kofe, nā hua citrus).
• Nā Manaʻo Lāʻau Lapaʻau: Inā ʻoe e lawe ana i nā lāʻau lapaʻau e hiki ai ke hoʻoulu i ka esophagitis, e kamaʻilio me kāu kauka e pili ana i ka hoʻololi ʻana i kahi lāʻau lapaʻau ʻē aʻe a i ʻole ka lawe ʻana i kahi ʻano wai. Inā ʻoe e lawe ana i kahi pila, e hōʻoia e lawe me kahi aniani wai nui a mai moe i lalo ma hope o ka lawe ʻana.
• Nā ʻano hana o ka pō: No ka hōʻemi ʻana i ka reflux acid, e ʻai iki i ka pō. ʻOi aku hoʻi, e hoʻopau i kāu ʻaina ahiahi ma ka liʻiliʻi he ʻekolu hola ma mua o ka hiamoe ʻana. E hāʻawi kēia i kāu meaʻai i ka manawa e hoʻoheheʻe ai ma mua o kou moe ʻana.
• Nā ʻano olakino maikaʻi: Inā ʻoe e puhipaka, e hoʻōki. E pale i ka waiʻona. E kōkua nui kēia i ka pale ʻana i kou esophagus.

E hoʻōla anei ka Esophagitis iā ia iho?

Inā maopopo iā ʻoe ua pau ke kumu o kou esophagitis, hiki ke hoʻopau iā ia iho i loko o kekahi mau pule. Eia nō naʻe, he mea naʻauao ke ʻike i ke kauka no kahi hōʻoia kūpono. Hiki i kāu kauka ke hoʻoholo i ke kumu pololei o kou esophagitis a aʻo iā ʻoe i ke ala kūpono loa no kēlā kūlana.

Pehea ka lōʻihi e hiki ai ke hoʻomau i ka esophagitis?

Aia ia i ka maʻalahi o ka hoʻomalu ʻana i ke kumu. I kekahi mau hihia hoʻomau, pono paha ʻoe e hoʻāʻo i nā lāʻau lapaʻau like ʻole a hiki i kou loaʻa ʻana o ka lāʻau kūpono. Ke hoʻomaka ʻoe i ka lāʻau lapaʻau, hoʻomaka koke ka hoʻōla ʻana. Eia nō naʻe, hiki ke hala i ʻekolu a ʻeono pule e hoʻōla piha ai. Inā he maʻi lōʻihi ke kumu (e laʻa, GERD, maʻi autoimmune), pono paha ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau e kāohi iā ia.

Ke loaʻa iā ʻoe ka esophagitis, pehea ʻoe e mālama ai iā ʻoe iho a hiki i kona ho'ōla ʻana?

I ka wā o ka hoʻōla ʻana, e makaʻala i kēia mau mea:

• E pale i nā mea e hoʻonāukiuki i kou ʻōnaehana hoʻoheheʻe, e like me nā mea ʻala a me nā mea ʻawaʻawa, ka waiʻona, a me ka puhipaka.
• A hiki i ka wā e ho'ōla ai ka paipu meaʻai, e pale i ke kau ʻana i ke kaomi nui ma luna.E ho'āʻo e ʻai i ka meaʻai palupalu (e like me ka porridge, ka sopa, nā mea kanu i moʻa maikaʻi ʻia).
• I ka wā e ʻai ai, e wāwahi i mau ʻāpana liʻiliʻi, e nau maikaʻi, a laila e ale.
• E inu i ka nui o ka wai. A i ʻole, e inu i nā kī lāʻau lapaʻau maikaʻi no ka ʻai ʻana, e like me ke kī aʻa marshmallow a me ke kī elm pahee. Hiki i kēia mau mea ke kōkua i ka mālama ʻana i nā pae hydration i loko o ke kino.

I ka manawa hea ʻoe e ʻike ai i ke kauka e pili ana i ka esophagitis?

Inā loaʻa iā ʻoe nā hōʻailona o ka esophagitis, akā ʻaʻole i loaʻa ke kumu, a inā ʻaʻole kōkua kāu lāʻau lapaʻau o kēia manawa, pono ʻoe e ʻike i ke kauka. I kekahi manawa hiki i ka esophagitis ke loaʻa ma mua o hoʻokahi kumu. Pono paha e mālama ʻia kēlā me kēia o kēia.

He like anei ka (Esophagitis) a me ka (GERD)?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻO GERD ke kumu maʻamau o ka esophagitis. Eia naʻe, ʻaʻole ia wale nō ke kumu . Eia kekahi, ʻaʻole nā ​​​​kānaka āpau me GERD e loaʻa i ka esophagitis. I mea e pehu ai ka esophagus, pono ia e hoʻopili mau ʻia i ka waikawa no ka manawa lōʻihi.

Holo kou esophagus mai kou puʻu a i kou ʻōpū, ma o kou umauma. ʻO ka maʻamau, inā ʻaʻole ia e ʻeha, ʻaʻole mākou e noʻonoʻo nui e pili ana i ia mea, ʻeā? Akā i ka wā e hana ai, ʻaʻole paha ʻoe e ʻike koke he ʻeha ia i loko o kou esophagus. Manaʻo paha ia he ʻeha i loko o kou umauma, a i ʻole he ʻeha puʻu. No laila, ma kēia ʻatikala, e loaʻa iā ʻoe kahi manawa e aʻo ai i nā mea e hiki ke hōʻino i kou esophagus a pehea e pale aku ai iā lākou.

Nui ka poʻe e loaʻa i ka esophagitis ma muli o ka reflux acid. Ma ka liʻiliʻi he 20% o ka heluna kanaka e loaʻa ana kēia pilikia. Eia nō naʻe, ʻo ka hoʻohana nui ʻana i nā lāʻau hoʻopau ʻeha ma luna o ke kauka e like me NSAID kekahi kumu maʻamau. ʻAʻole maʻamau nā maʻi autoimmune a me nā maʻi e pili ana me ka ʻōnaehana pale nāwaliwali. I kekahi manawa, hiki ke hui pū ʻia kēia mau kumu. Inā manaʻo ʻoe he esophagitis kou, e ʻike i ke kauka a loaʻa kahi hōʻailona.

ʻO nā mea nui e hoʻomanaʻo i ka pōkole

ʻAe, eia nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO ka Esophagitis kahi pehu a i ʻole ka mumū o loko o kāu paipu meaʻai (esophagus).
• ʻO ka hapa pinepine, ʻo kēia ke kumu o kahi maʻi i kapa ʻia ʻo ka maʻi reflux gastroesophageal (GERD).
• Eia kekahi, ʻo nā mea e like me kekahi mau lāʻau lapaʻau, nā maʻi bacteria, nā allergies, a me nā lāʻau lapaʻau radiation hiki ke hana i kēia.
• Inā pilikia ʻoe i ka ale ʻana, ka ʻeha o ka puʻuwai, a i ʻole ka ʻeha ma kou umauma, mai hoʻowahāwahā wale. E ʻike i ke kauka.
• He maʻi mālama ʻia ka Esophagitis e pono ai ka lāʻau lapaʻau a me kekahi mau loli o ke ʻano o ka nohona.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!

`esophagitis, esophagitis, ʻeha puʻu, mumū o ka umauma, GERD, paʻakikī ke ale, reflux, heartburn